Jill Clark, LCSW in Burleson, TX - Medicare Social Worker Provider

Jill Clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Burleson, Texas. Her current practice location is 255 Elk Dr Ste C, Burleson, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 888-8131.

Jill Clark is licensed to practice in Texas (license number 50659) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598118648.

Contact Information

	Jill Clark, LCSW
	255 Elk Dr Ste C, Burleson, TX 76028-8691
	(817) 888-8131
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jill Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	255 Elk Dr Ste C, Burleson, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598118648
Provider Enumeration Date: 07/13/2016
Last Update Date: 07/13/2016

Medicare PECOS Information:

PECOS PAC ID: 9335558881
Enrollment ID: I20210513000005

Medical Identifiers

Medical identifiers for Jill Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598118648	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	50659 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jill Clark allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jill Clark, LCSW 255 Elk Dr Ste C, Burleson, TX 76028-8691 Ph: (817) 888-8131	Jill Clark, LCSW 255 Elk Dr Ste C, Burleson, TX 76028-8691 Ph: (817) 888-8131

Reviews and Comments

Social Worker in Burleson, TX

Claudia Stanley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2915 S Burleson Blvd, Burleson, TX 76028 Phone: 817-447-3001
Kayla Autry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2915 S Burleson Blvd, Burleson, TX 76028 Phone: 817-447-3001
Mrs. Donna Shemanne Nickerson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 621 Sw Johnson Ave, Burleson, TX 76028 Phone: 817-374-0155
Darcy Ciesynski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6924 Shady Hills Ln, Burleson, TX 76028 Phone: 817-437-3189
Ashley Ketchum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2915 S Burleson Blvd, Burleson, TX 76028 Phone: 817-447-3001
Elizabeth Page, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 2426, Burleson, TX 76097 Phone: 817-247-9438
Jennifer Radke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 E Renfro St, Burleson, TX 76028 Phone: 817-240-4744

Jill Clark, LCSW - Medicare Clinical Social Worker in Burleson, TX